DR. J. MICHAEL SKAHAN (NPI# 1083713846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083713846 |
| Entity Type | Individual |
| Full Name | DR. J. MICHAEL SKAHAN |
| Credential | DDS |
| Practice Address |
1320 E Kingsley St Suite B Springfield MO 65804-7216 |
| Practice Telephone | 4178815405 |
| Mailing Telephone | 4178815405 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
13354 | MO | Dental Providers |
| Street Address |
1320 E KINGSLEY ST SUITE B |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-7216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166168 | David J Lutz | Psychologist | 1320 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2005-09-30 |
| 1275887614 | Tamara Bellings | Counselor | 1320 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2012-11-07 |
| 1760609689 | Brooke Leslie Whisenhunt | Psychologist | 1320 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2007-04-20 |
| 1184780850 | Carl Michael Dawson | Counselor | 1320 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2006-12-28 |
| 1629134390 | Paula S Sivils | Counselor | 1320 E Kingsley St, Ste A, Springfield, MO 65804-7216 | 2006-12-28 |
| 1053381087 | Ellen Q. Richardson | Psychologist | 1320 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2006-01-24 |
| 1851378517 | Alan W. Aram | Psychologist | 1320 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1487975231 | Anthony T Quinta | Dentist | 1795 Main St Ste 202, Springfield, MA 01103-1015 | 2010-06-16 |
| 1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
| 1346373347 | Jody Brian Vance | Dentist | 3331 E Montclair St Ste G, Springfield, MO 65804-4786 | 2007-03-13 |
| 1629130430 | John Bruno | Dentist | 6120 Brandon Ave Ste 211, Springfield, VA 22150-2504 | 2006-12-15 |
| 1952472011 | Timothy Brian Coffelt | Dentist | 301 N Fountain Ave, Springfield, OH 45504-2536 | 2006-11-12 |
| 1063424638 | Bruce S Wyman | Dentist | 6116 Rolling Road, Suite 312, Springfield, VA 22152-1512 | 2006-08-12 |
| 1295743318 | Brad Reese Burks | Dentist | 1355 E Bradford Pkwy Ste D, Springfield, MO 65804-4200 | 2006-08-04 |
| 1275058919 | Anthony T Quinta Dmd LLC | Dentist | 1795 Main Street, Suite 202, Springfield, MA 01103 | 2017-08-03 |
| 1871816389 | James William Davis | Dentist | 2025 W Iles Ave, Suite F, Springfield, IL 62704-4190 | 2010-03-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.